| Relymd Medical Group | |
|
828 Lane Allen Rd Ste 219 Lexington KY 40504-3659 | |
| (919) 932-0928 | |
| Not Available |
| Full Name | Relymd Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 828 Lane Allen Rd Ste 219, Lexington, Kentucky |
| Authorized Official Name and Position | Ronald Michael Creatore (CFO/GENERAL COUNSEL) |
| Authorized Official Contact | 9199320928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relymd Medical Group 510 Meadowmont Village Cir Ste 323 Chapel Hill NC 27517-7584 Ph: (919) 932-0928 | Relymd Medical Group 828 Lane Allen Rd Ste 219 Lexington KY 40504-3659 Ph: (919) 932-0928 |
| NPI Number | 1780297994 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780297994 | NPI | - | NPPES |
| 1110355 | Other | KY | KENTUCKY SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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